Tournament Travel Permit and Payment Form (Burlington City Rep Hockey Club)
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Tournament Travel Permit and Payment Form
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Tournament Travel Permit and Payment Form
Please fill this form out to start the travel permit and payment process for your Eagles team's tournament.
Personal Information
Your Name
*
Email
*
Your submission will be sent to this address for confirmation.
Travel Permit Information
Team Name
*
Select One...
Junior Eagles
Under 8 Tier 1
Under 8 Tier 2
Under 9 Tier 1
Under 9 Tier 2 Gold
Under 9 Tier 2 Blue
Under 10 AAA
Under 10 AA
Under 10 A
Under 11 AAA
Under 11 AA
Under 11 A
Under 12 AAA
Under 12 AA
Under 12 A
Under 13 AAA
Under 13 AA
Under 13 A Gold
Under 13 A Blue
Under 14 AAA
Under 14 AA
Under 14 A Gold
Under 14 A Blue
Under 15 AAA
Under 15 AA
Under 15 A Gold
Under 15 A Blue
Under 16 AAA
Under 16 AA Gold
Under 16 AA Blue
Under 16 A
Under 18 AAA
Under 18 AA Gold
Under 18 AA Blue
Under 18 A
Travel Permit Type:
*
Select One...
Tournament outside the OMHA
Tournament inside the OMHA
Tournament Name
*
Location
*
Sanction Permit #:
*
Please find the Sanction Permit # on the tournament's website.
Date From:
*
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To:
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
<<
<
September 2023
>
<<
September 2023
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M
T
W
T
F
S
35
27
28
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30
31
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Tournament Allotment
Tournament Number
*
Select One...
1st
2nd
3rd
4th
5th
What number of tournament is this for your team? The Eagles will cover costs for the first three tournaments for a team; any additional tournament is the responsibility of the parents. For any 4th or 5th tournament, please do not fill out the deposit or payment information.
In-Season or Out-of-Season
*
Select One...
In Season
Out of Season
Is this tournament during the Regular season? (In-season) - Or is it an Early Bird, Christmas, or Post-Season? (Out-of-Season)
TOTAL COST OF TOURNAMENT
*
This is the total cost of tournament registration
Funds
*
CDN
US
Was there a deposit required?
*
Select One...
YES
NO
If "NO", then please skip the next section.
DEPOSIT Reimbursement
Please fill out this section to be reimbursed for the deposit you paid. If no deposit was needed, please skip to the next section. IF THIS IF YOUR TEAM'S 4TH OR 5TH TOURNAMENT, PLEASE SKIP THIS SECTION.
Amount of Deposit
Payable To
Mailing Address: Street
City, Province
Postal Code
Please scan and attach Proof of Payment if a Deposit has been made by the team.
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 2. Maximum File Size: 4MB.
Additional Notes?
TOURNAMENT PAYMENT Reimbursement
Please fill out this section to either get reimbursed for your payment, or have the Eagles send payment to the tournament. IF THIS IF YOUR TEAM'S 4TH OR 5TH TOURNAMENT, PLEASE SKIP THIS SECTION.
Amount of Payment
Total tournament registration LESS deposit paid
Payable To:
Mailing Address: Street
City, Province
Postal Code
If payment for a tournament is being paid by personal credit card, please scan and attach Proof of Payment.
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 2. Maximum File Size: 4MB.
Additional Notes?
Human Validation
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*
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